RUS Form 87, Request for Mail List Data

Forms and Documents

Document Name	Status
Form 87 RUS Form 87, Request for Mail List Data Form	Modified
SS_202~1.DOC_v.3.docx Supporting Statement A	2024-12-12
BH_10.30.24.XLS.xlsx Supplementary Document	2024-11-14
Federal Register publication.pdf Supplementary Document	2024-10-30

IC Document Collections

IC ID	Document Title	Status
1784	RUS Form 87, Request for Mail List Data Form	Modified

ICR Details

OMB Control No: 0572-0051	ICR Reference No: 202410-0572-003
Status: Received in OIRA	Previous ICR Reference No: 201911-0572-001
Agency/Subagency: USDA/RUS	Agency Tracking No:
Title: RUS Form 87, Request for Mail List Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/30/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2024
Responses	869	985
Time Burden (Hours)	217	246
Cost Burden (Dollars)	0	0

---

Abstract: The RUS Form 87, Request for Mail List Data, is used to obtain the names and addresses of RUS Electric and Telecommunications borrowers' officer/board of directors and corporate officials who are authorized to sign official documents, make official representations concerning borrowers operations and management, etc.

---

Authorizing Statute(s): PL: Pub.L. 103 - 345 2(a) and 2(b) Name of Law: Rural Electrification Act of 1936, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 54419	07/01/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 104073	12/20/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
RUS Form 87, Request for Mail List Data	87	Request for Mail List Data - RUS Form 87

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	869	985	0	0	-116	0
Annual Time Burden (Hours)	217	246	0	0	-29	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: During the last collection period, the number of RUS Electric and Telecommunications program borrowers decreased from 985 to 869. As there is one response per respondent, the number of responses decreased from 985 to 869.

---

Annual Cost to Federal Government: $7,260

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/30/2024

---